The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca

Koray Gumus1, Dwight H Cavanagh21Department of Ophthalmology, Erciyes University School of Medicine, Kayseri, Turkey; 2Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, Texas, USAPurpose: To review and integrate recent advances in identifying the role of infla...

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Autores principales: Koray Gumus, Dwight H Cavanagh
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Publicado: Dove Medical Press 2008
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spelling oai:doaj.org-article:bd92114979c3481aad1da6db9c5a12372021-12-02T01:39:53ZThe role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca1177-54671177-5483https://doaj.org/article/bd92114979c3481aad1da6db9c5a12372008-10-01T00:00:00Zhttp://www.dovepress.com/the-role-of-inflammation-and-antiinflammation-therapies-in-keratoconju-a2403https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Koray Gumus1, Dwight H Cavanagh21Department of Ophthalmology, Erciyes University School of Medicine, Kayseri, Turkey; 2Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, Texas, USAPurpose: To review and integrate recent advances in identifying the role of inflammation in the pathogenesis of dry eye conditions and the biological rationale and practical clinical aspects of newer, antiinflammatory theories.Methods: A comprehensive literature survey. Results and conclusion: Keratoconjunctivitis Sicca (KCS) is a multifactorial and complex disorder in which ocular surface infl ammations play a central role. Identification of specific CD4-T-Cell pathways and the recent recognition of targeting of alpha-fodrin suggest a case for novel new therapeutic aspects such as anti-CD4 monoclonal antibodies, systemic linoleic and gamma-linolenic acids, and omega-6 essential fatty acids. Replacement of tear volume with nonpreserved wetting agents and standard typical antiinflammatory corticosteroid and/or cyclosporine A continues to be central current conventional therapy for KCS.Keywords: dry eye, keratoconjunctivitis sicca, antiinflammatory therapy Koray GumusDwight H CavanaghDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 57-67 (2008)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Koray Gumus
Dwight H Cavanagh
The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
description Koray Gumus1, Dwight H Cavanagh21Department of Ophthalmology, Erciyes University School of Medicine, Kayseri, Turkey; 2Department of Ophthalmology, The University of Texas Southwestern Medical Center, Dallas, Texas, USAPurpose: To review and integrate recent advances in identifying the role of inflammation in the pathogenesis of dry eye conditions and the biological rationale and practical clinical aspects of newer, antiinflammatory theories.Methods: A comprehensive literature survey. Results and conclusion: Keratoconjunctivitis Sicca (KCS) is a multifactorial and complex disorder in which ocular surface infl ammations play a central role. Identification of specific CD4-T-Cell pathways and the recent recognition of targeting of alpha-fodrin suggest a case for novel new therapeutic aspects such as anti-CD4 monoclonal antibodies, systemic linoleic and gamma-linolenic acids, and omega-6 essential fatty acids. Replacement of tear volume with nonpreserved wetting agents and standard typical antiinflammatory corticosteroid and/or cyclosporine A continues to be central current conventional therapy for KCS.Keywords: dry eye, keratoconjunctivitis sicca, antiinflammatory therapy
format article
author Koray Gumus
Dwight H Cavanagh
author_facet Koray Gumus
Dwight H Cavanagh
author_sort Koray Gumus
title The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
title_short The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
title_full The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
title_fullStr The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
title_full_unstemmed The role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
title_sort role of inflammation and antiinflammation therapies in keratoconjunctivitis sicca
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/bd92114979c3481aad1da6db9c5a1237
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